The Merck Manual of Diagnosis & Therapy, © Merck & Co. Inc.
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AUDIENCE -
A must-have for medical students, residents, practicing physicians, nurses, and allied health professionals.
REVIEW -
I think the Merck Manual is a monumental work that gets better all the time....The 19th edition is quite expanded and the photographs at the back are excellent and very helpful. This is a must have publication for any clinical practitioner regardless of speciality. The coverage of each topic is concise yet adequate enough to be relevant. Usually at the end of one year usage the pages are well worn due to frequent consultation and review. Highly recommended! ---Dr L J Ramages MB;ChB.(UCT). FRCS(Glasg). FRCS (Edin.). FCS (SA) L et O. M.Med (UCT) Otol. (South Africa).
NEW EDITION UPDATES -
The 19th Edition of the Merck Manual of Diagnosis and Therapy has been thoroughly updated and thoughtfully expanded, with more than 850 additional pages, 15 new chapters, over 300 new tables, and 56 new figures.
New Sections include...
• A new 16-page, full-color insert showing skin, eye, and oral disorders.
Plate 14. Herpes simplex (dendritic keratitis).
• Expanded discussions of over 85 symptoms, including chest pain, cough, and edema.
| Table 206-7. Some Causes of Edema | ||
| CAUSE | SUGGESTIVE FINDINGS | DIAGNOSTIC APPROACH* |
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Increased hydrostatic pressure, fluid overload
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||
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Heart failure induced by right- or left-sided disease (directly increases venous pressure)
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Symmetric, dependent, painless, pitting edema, often with dyspnea during exertion, orthopnea, and paroxysmal nocturnal dyspnea
Commonly, lung crackles, S3 or S4 gallop or both, and jugular venous distention, hepatojugular reflux, and Kussmaul's sign
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Chest x-ray and ECG
Usually echocardiography
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Pregnancy and premenstrual state
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Apparent by history
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Clinical evaluation
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Drugs (eg, minoxidil, NSAIDs, estrogens, fludrocortisone, dihydropyridine, diltiazem and other Ca channel blockers)
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Symmetric, dependent, painless, usually mild pitting edema
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Clinical evaluation
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Iatrogenic (eg, excessive IV fluids)
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Apparent by history and medical record
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Clinical evaluation
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• New sections on topics in geriatric medicine.
Chapter 307 Approach to the Geriatric Patient includes:
1. Changes with Aging;
2. Evaluation of the Elderly;
3. Unusual Presentations of Illness in the Elderly.
• More on financial issues in health care.
• An appendix listing Normal Laboratory Values.
| Table 1. Normal Laboratory Values: Blood, Plasma, and Serum | |||
| TEST | SPECIMEN | CONVENTIONAL UNITS | SI UNITS |
|
Acetoacetate
|
Plasma
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< 1 mg/dL
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< 0.1 mmol/L
|
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Acetylcholinesterase (ACE), RBC
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Blood
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26.7-49.2 U/g Hb
|
—
|
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Acid phosphatase
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Serum
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0.5-5.5 U/L
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0-0.9 ukat/L
|
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Activated partial thromboplastin time (aPTT)
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Plasma
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25-35 sec
|
—
|
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Adrenocorticotropic hormone (ACTH)
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Serum
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9-52 pg/mL
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2-11 pmol/L
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Albumin
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Serum
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3.5-5.5 g/dL
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35-55 g/L
|
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Aldosterone:
|
|||
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Standing
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Serum
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7-20 ng/dL
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194-554 pmol/L
|
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Supine
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Serum
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2-5 ng/dL
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55-138 pmol/L
|
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Alkaline phosphatase (ALP)
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Serum
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36-92 U/L
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0.5-1.5 ukat/L
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Alpha1-antitrypsin (AAT)
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Serum
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83-199 mg/dL
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—
|
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Alpha fetoprotein (AFP)
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Serum
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0-20 ng/dL
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0-20 pg/L
|
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δ-Aminolevulinic acid (ALA)
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Serum
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15-23 ug/L
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1.141.75 umol/L
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Aminotransferase, alanine (ALT)
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Serum
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0-35 U/L
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0-0.58 pkat/L
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Aminotransferase, aspartate (AST)
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Serum
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0-35 U/L
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0-0.58 pkat/L
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Ammonia
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Plasma
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40-80 ug/dL
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23-47 umol/L
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Amylase
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Serum
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0-130 U/L
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0-2.17 ukat/L
|
• Bulleted diagnosis and treatment summaries.
Treatment for Acute Bacterial Meningitis...
